Evidence map›Paper›PMID 41984330›Full record

ArticleGenes & genomics2026

Single-cell transcriptomics and machine learning identify RNF144B and C5AR1 as immune-related molecular signatures and therapeutic targets in myocardial infarction.

Yuxin Hu, Lu Chen, Jianmei Sha, Caihong Shao, Junli Gao, Jianhua Yao

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Article in Genes & genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Yuxin Hu *Cardiac Regeneration and Ageing Lab, Institute of Geriatrics (Shanghai University), Affiliated Nantong Hospital of Shanghai University (The Sixth People's Hospital of Nantong) and School of Life Science, Shanghai University, Nantong, 226011, China.
Lu Chen *Cardiac Regeneration and Ageing Lab, Institute of Geriatrics (Shanghai University), Affiliated Nantong Hospital of Shanghai University (The Sixth People's Hospital of Nantong) and School of Life Science, Shanghai University, Nantong, 226011, China.
Jianmei Sha *Shanghai University Hospital, Shanghai University, Shanghai, 200444, China.
Caihong ShaoDepartment of Internal Emergency Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, China.
Junli Gao *Cardiac Regeneration and Ageing Lab, Institute of Geriatrics (Shanghai University), Affiliated Nantong Hospital of Shanghai University (The Sixth People's Hospital of Nantong) and School of Life Science, Shanghai University, Nantong, 226011, China. jlgao1@outlook.com.ORCID 0000-0002-8207-5545
Jianhua Yao *Department of Cardiology, Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200090, China. jianhuayao@tongji.edu.cn.

Funding

National Natural Science Foundation of China 82501917
6 · The paper itself

Abstract

backgroundMyocardial infarction (MI) is a life-threatening cardiovascular disease characterized by high morbidity and mortality. Although advances in clinical management have improved patient outcomes, early diagnosis and effective immunomodulatory therapies remain limited.

objectiveThis paper aims to identify key regulatory genes in MI, uncover their underlying mechanisms of action of the key genes, and facilitate their diagnostic and therapeutic use.

methodsIn this study, we integrated multiple transcriptomic datasets and applied machine learning approaches, including LASSO regression, to identify a robust 13 key genes significantly associated with MI. GSEA and GSVA were subsequently performed to explore their potential biological functions. The immunological relevance of these genes was evaluated by analyzing their correlations with inflammation-related genes and those involved in immune cell migration. In addition, transcription factor and microRNA (miRNA) regulatory networks were constructed to elucidate upstream regulatory mechanisms. The expression levels of the 13 key genes were validated in MI mouse model.

resultsAmong 11 cardiac cell populations identified, myeloid cells contributed most prominently to MI pathogenesis. A robust 13-gene predictive signature was established, with RNF144B and C5AR1 showing strong associations with immune modulation and disease severity. Correlation analysis demonstrated a significant positive relationship of RNF144B and C5AR1 with immunological roles. TF-gene and miRNA–mRNA regulatory networks supported the post-transcriptional regulation of these genes. In the MI mouse model, expression of the 13 genes was consistent with the risk-prediction model. Molecular docking identified CCX168 as a promising small-molecule candidate targeting RNF144B and C5AR1.

conclusionThis study identified 13-gene signature, particularly RNF144B and C5AR1, holds promise as therapeutic targets, providing new insights for immunomodulatory and precision medicine strategies in MI.

Indexed as

Myocardial InfarctionReceptor, Anaphylatoxin C5aTranscriptomeUbiquitin-Protein LigasesAnimalsGene Expression ProfilingGene Regulatory NetworksHumansMachine LearningMiceMicroRNAsSingle-Cell Gene Expression AnalysisMicroRNAsReceptor, Anaphylatoxin C5aUbiquitin-Protein LigasesImmune microenvironmentImmune-targeted therapyInflammationMIMyeloid cellsRNF144B

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